Provider Demographics
NPI:1629469721
Name:HEAR AT HOME NJ LLC
Entity Type:Organization
Organization Name:HEAR AT HOME NJ LLC
Other - Org Name:THE VISITING AUDIOLOGISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPP
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:908-216-1761
Mailing Address - Street 1:45 MEADOWLANDS PKWY
Mailing Address - Street 2:UNIT 126
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2927
Mailing Address - Country:US
Mailing Address - Phone:908-216-1761
Mailing Address - Fax:
Practice Address - Street 1:300 CRAIG RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8742
Practice Address - Country:US
Practice Address - Phone:908-216-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00079600237600000X
NJ25MG00126500332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty